Trattamento di Tetralogia di Fallot in National Research Cardiac Surgery Center

• Heart surgery
• Interventional cardiology
• Pediatric cardiology and heart surgery

National Research Cardiac Surgery Center (NRCSC) was founded in 2011 by order of Nursultan Nazarbayev, the President of Kazakhstan.

The Hospital is situated 8 km away from the central railway station and 13 km away from Astana International Airport.

• The Hospital cooperates with the leading medical facilities in Germany, the USA, France, Italy, Belgium, and Turkey. Doctors of the Center undergo international internships and adopt experience of their foreign colleagues.
• The most innovative surgical techniques are available at the Hospital. Surgeons perform minimally invasive and safe interventions such as transcatheter aortic valve implantation (TAVI), closing of the oval window through a puncture in the artery.

Joint Commission International (JCI) certificate

JCI accreditation warrants that the Hospital follows international healthcare and quality standards. NRCSC is equipped with all the necessary technologies for complex surgeries. Certified and experienced doctors work here. Operating theatres are 100% sterile.

Doctors perform open and minimally invasive heart operations. According to specific indications, doctors prescribe a minimally invasive intervention through 7-12 cm incision. As a result, the surrounding tissues are less damaged. After such a procedure, a patient recovers more rapidly and returns to a healthy life in the short term.

Aortocoronary bypass without complications

Doctors of the Сlinic perform the procedure using the ROC Safe system. This is a device for artificial blood circulation, which allows reducing the amount of blood transfused to 58%. ROC Safe device reduces the risk of postoperative complications, such as atrial fibrillation and bleeding.

LVAD - implantation of an artificial left ventricle

It is an operation for mechanical pump implantation that helps the heart pump blood. Heart surgeons perform the procedure to patients with severe heart failure and those who are waiting for a donor heart transplant.

In 3% of cases, the heart completely resumes its work and does not require further transplantation. The device prolongs life up to 10 years in patients waiting for a heart transplant. LVAD restores the functions of other organs — liver, kidneys, lungs. And a patient lives a healthy life.

60 LVAD operations have been conducted in the Hospital. 30 patients have undergone heart transplant after LVAD, 19 patients live a full life with LVAD, 1 patient has completely recovered from the disease.

Heart surgery at NRCSC

NRCSC doctors specialize in percutaneous heart and vessels operations. They are performed through a thin tube (catheter) inserted into the femoral or carpal arteries. Hospitalization lasts 1-3 days. A patient does not have scars and does not feel any discomfort after such operations.

NRCSC perform catheter interventions to:

• correct the interventricular septum defect;
• implant the stents;
• replace the aortic valve;
• conduct the mitral valve clip;
• complete the closure of the left atrial appendage;
• replace the biological aortic valve.

TAVI - the aortic valve replacement

Specialists prescribe the procedure to adults with the aortic valve disease. NRCSC heart surgeons use the artificial valves produced by Carbomedics, the US manufacturer.

Doctors implant valves through the blood vessels using a catheter. At the end of the catheter there is a self-expanding endoprosthesis.

A patient is under general anesthesia during the procedure. After the intervention, the symptoms of the disease (chest pain, fainting, and shortness of breath) disappear entirely.

NobleStitch — the closing of the oval window in the heart

It is the most innovative surgery for the treatment of the oval window in the heart. Heart surgeons sew the defect through a puncture in the main vessel of the heart.

The procedure does not require a sternum incision. A doctor performs all the manipulations through a small puncture up to 1 cm. After surgery, a patient recovers faster than after the traditional open surgery.

Doctors of the Pediatric Department treat children from the birth to 18 years of age. Cardiac surgeons determine the most effective and safe treatment method for babies.

Heart doctors prefer endovascular surgeries (through a thin catheter) or minimally invasive ones (through a small incision). After such interventions, children do not feel severe pain and recover faster.

NRCSC doctors perform such procedures as:

• plastic repair the interventricular septum defects;
• plastic reconstruction of the atrial septal defect;
• corrective surgery for Tetralogy of Fallot;
• pacemaker implantation;
• catheter intervention for abnormal pulmonary venous drainage;
• coarctation of the aorta;
• Mueller surgery.

• assistance in applying for a visa
• translation of medical records
• transfer from/to an airport
• accommodation in a single or double ward
• consultation with an attending physician after returning home.

Single room